NPI | 1295381572 |
---|---|
Doing Business As | SOUTH SUBURBAN SURGICAL SUITES |
Entity Type | Organization |
Authorized Contact | LILLY VELJOVIC Administrator 219-595-0601 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2019-08-13 |
Last Update Date | 2021-05-18 |